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題名 | Surgical Treatment of Retinal Detachment Following Acute Retinal Necrosis Syndrome: Surgical Results in Four Patients=急性視網膜壞死症併發網膜剝離之手術治療:對於四位病患的手術治療結果 |
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作者 | 侯鈞賀; 陳珊霓; 何昭德; 何正廉; | 書刊名 | 長庚醫學 |
卷期 | 26:11 2003.11[民92.11] |
頁次 | 頁835-842 |
分類號 | 416.746 |
關鍵詞 | 急性視網膜壞死症; 視網膜炎; 葡萄膜炎; 玻璃體切除術; Acute retinal necrosis syndrome; Retinitis; Uveitis; Vitrectomy; |
語文 | 英文(English) |
中文摘要 | 背景:急性視網膜壞死症為一不常見但嚴重之眼科疾病,其往往發生於健康個體。此症常併發視網膜剝離,造成病患嚴重視力缺損。 方法:我們於1999年到2001年對於四位病人的四隻眼睛施予手術治療,手術分別由本院三位眼科醫師實施。方法為經平坦霩玻璃體切除術、環狀鞏膜扣環術、增生膜分離、氣液交換、眼內雷射治療、以及使用矽油或膨脹氣體作視網膜填塞。 結果:一位病人於實施玻璃體切除術時,須伴隨水晶體摘除。而另一位病人因術後有視網膜牽引,須再次手術。四位病人的黃斑部均成功貼合(100%)。兩位病人術後視力進步,但所有人的視力均低於20/200。三位病人術後併發白內障,三位病人併發黃斑部皺摺,及一位病人併發矽油性角膜病變。 結論:我們的手術結果顯示現今的玻璃體切除之技術,對於急性視網膜壞死症併發網膜剝離之情形,有很高的手術成功率達到視網膜貼合。 |
英文摘要 | Backgorund: Acute retinal necrosis (ARN) syndrome is an uncommon but severe ocular disease that typically affects otherwise healthy individuals. It is frequently complicated with retinal detachment and the visual prognosis in such patients is usually poor. Methods: We operated on four eyes in four patients for 1999 through 2001. Three ophthalmologists in our hospital did these operations, respectively. The surgical methods included pars plana vitrectomy, lensectomy, encircling scleral buckling combined with membrane dissection, air-fluid exchange, endolaser photocoagulation, and retinal tamponade with silicone oil or perfluoropropane gas. Results: Three patients received one operation and the other one needed a second operation to release the retinal traction. One patient needed a lensectomy at the time of vitrectomy. Macular attachment was achieved in all four eyes (100%). Vision improved in two patients but none achieved visual acuity better than 20/200. the complications were cataract in three patients, macular pucker in three, and silicone keratopathy in one. Conclusion: Our results suggest that modern vitrectomy techniques provide a very high retinal attachment rate in patients with retinal detachment following ARN syndrome. |
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